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Individual
PHILIP S PERROTTA
Active
Individual
PHILIP S PERROTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
102805
NC
Other
Enumeration date
08/01/2006
Last updated
11/24/2021
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